Documentation In Health Care

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Documentation in any healthcare setting is of considerable importance, because “if it is not documented it did not happen” (Singh, Ash, & Sittig, 2013). Now in the 21 century documentation has been modified to electronic medical records (EMR). Documenting information onto an electronic medium can lead to beneficial outcomes. Focusing on three components of the EMR’s, how safety is impacted by their use; specifically looking at the reduced errors and correct documentation. Along with how safety is impacted when the EMR’s are not used in the correct manner. Lastly discussing the role, a nurse plays in using the EMR.
With many components making up the EMR the focus for this discussion will consist of “assessment guides with clear, actionable,

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